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MRS. AMANDA ALYCE CLARK
NPI 1215329891
Student in an Organized Health Care Education/Training Program in Canton, OH

Active since February 19, 2015
919 2ND ST NE, CANTON, OH 44704(330) 933-2339(330) 454-1476 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Amanda Alyce Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA ALYCE CLARK (NPI 1215329891) is an individual student in an organized health care education/training program in Canton, Ohio and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1215329891
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. AMANDA ALYCE CLARK
Location Address919 2ND ST NECanton, OH 44704-1132
Mailing Address919 2nd St NeCanton, OH 44704-1132 · (330) 933-2339 · Fax (330) 454-1476
Phone(330) 933-2339
Fax(330) 454-1476
Sole ProprietorNo
Enumeration DateFebruary 19, 2015
Last NPPES UpdateFebruary 25, 2015
✔ NPI 1215329891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
919 2ND ST NE, Canton, OH 44704
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Other Identifiers 1

Medicaid0290822OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS VICTORIA ANNE THOMPSON
Case Manager/Care Coordinator
919 2ND ST NE
CANTON, OH 44704
Stark County (330) 454-7917
ROSETTA BALLARD
Case Manager/Care Coordinator
919 2ND ST NE
CANTON, OH 44704
Stark County (330) 454-7917
JACQUELINE KIENZLE
Case Manager/Care Coordinator
919 2ND ST NE
CANTON, OH 44704
Stark County (330) 454-7917
RILEY SUZANNE PULLEN
Case Manager/Care Coordinator
919 2ND ST NE
CANTON, OH 44704
Stark County (330) 454-7971
HSIAO CHI PENG
Social Worker
919 2ND ST NE
CANTON, OH 44704
Stark County (330) 454-7917
MICAELA MARIE MICHALK
Case Manager/Care Coordinator
919 2ND ST NE
CANTON, OH 44704
Stark County (330) 454-7917
SYBIL SHAMERE MCLEOD
Case Manager/Care Coordinator
919 2ND ST NE
CANTON, OH 44704
Stark County (330) 454-7917
JULIE BEACHY
Case Manager/Care Coordinator
919 2ND ST NE
CANTON, OH 44704
Stark County (330) 454-7917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1215329891. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Amanda Clark located?

Amanda Clark practices at 919 2nd St NE, Canton, OH 44704. The listed phone number is (330) 933-2339.

What is Amanda Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Clark was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.